Clinicopathological analysis for postoperative recurrence in early gastric cancer patients
10.3760/cma.j.issn.1007-631X.2012.01.003
- VernacularTitle:早期胃癌复发的高危因素分析
- Author:
Xiang HU
;
Liang CAO
;
Yi YU
- Publication Type:Journal Article
- Keywords:
Stomach neoplasms;
Recurrence;
Risk factors
- From:
Chinese Journal of General Surgery
2012;27(1):5-7
- CountryChina
- Language:Chinese
-
Abstract:
Objective To clarify the risk factors of postoperative recurrence of early gastric cancer (EGC)patients who underwent radical gastrectomy.Methods We investigated follow-up records of 336 EGC patients on whom curative operations were performed at the First Affiliated Hospital of Dalian Medical University between January 1994 and January 2008 with special reference to 12 cases of cancer recurrence.Results The 5-year survival rate of D1 was 89.0％,D1 + t was 91.4％,D1 + β was 91.8％,D2 was 92.5％,D3 was 90.0％(P =0.981).The recurrence rate was 3.6％(12/336).The recurrence time was 17-58 months,the survival time was 33-68 months.Six cases suffered from hematogenous recurrences,four cases from lymph node recurrences,two cases from remnant stomach recurrences.The recurrence rate of SM was higher than M(P =0.015),lymph node positive was high than negative(P =0.011),D1 was higher than D2(P =0.025).Conclusions The recurrence rate of EGC correlated with depth of invasion,lymph node metastasis and lymph node dissection.
